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Fatal cerebritis and ventriculitis secondary to tracheoesophageal prosthesis

Title: Fatal cerebritis and ventriculitis secondary to tracheoesophageal prosthesis
Authors: Crotty, Thomas J; Sexton, Gerard P; Kavanagh, Fergal; Kinsella, John; Lennon, Paul; Timon, Conrad V; Fitzgerald, Conall W R
Source: Journal of Surgical Case Reports ; volume 2024, issue 4 ; ISSN 2042-8812
Publisher Information: Oxford University Press (OUP)
Publication Year: 2024
Description: Tracheoesophageal puncture and voice prosthesis placement is the preferred method of voice restoration following total laryngectomy. Although this is a safe and effective means of optimizing voice, severe complications can occur. We present the case of a patient who developed cerebritis and ventriculitis secondary to a tracheoesophageal prosthesis eroding his cervical vertebrae 20 years following pharyngo-laryngo-esophagectomy. Despite optimal antimicrobial therapy, he deteriorated and succumbed to his disease. Although tracheoesophageal prostheses are a safe and effective means of voice restoration, life-threatening complications can occur. This case report highlights a rare but severe case of cervical osteomyelitis, epidural abscess, and cerebritis and ventriculitis secondary to tracheoesophageal prosthesis. Clinicians must be aware of this severe complication in postlaryngectomy patients with tracheoesophageal prostheses.
Document Type: article in journal/newspaper
Language: English
DOI: 10.1093/jscr/rjae243
Availability: https://doi.org/10.1093/jscr/rjae243; https://academic.oup.com/jscr/article-pdf/2024/4/rjae243/57263146/rjae243.pdf
Rights: https://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.EA69E04
Database: BASE